Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PDOS DRE LLC

NPI: 1659144285 · SHELBYVILLE, KY 40065 · Pediatric Dentist · NPI assigned 11/06/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAVIS, ELIZABETH controls 20+ related entities in our dataset. Read more

$323K
Total Medicaid Paid
9,756
Total Claims
8,591
Beneficiaries
17
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date11/06/2023

Related Entities

Other providers sharing the same authorized official: DAVIS, ELIZABETH

ProviderCityStateTotal Paid
GERIATRIC SERVICES, INC. TEANECK NJ $5.89M
GERIATRIC LIVING SOLUTIONS, INC. TEANECK NJ $4.34M
CENTRAL KENTUCKY SEDATION PLLC LEXINGTON KY $1.37M
ETOWN DENTISTRY DRE LLC ELIZABETHTOWN KY $690K
WISE DENTISTRY DRE LLC CAMPBELLSVILLE KY $411K
KENTUCKIANA PEDS DRE LLC MT WASHINGTON KY $373K
DANVILLE PEDS DRE LLC DANVILLE KY $361K
GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY LIBERTY NY $343K
BARNHILL PEDS DRE LLC CORBIN KY $265K
BEAUMONT KIDS DRE LLC LEXINGTON KY $175K
PDOW DRE LLC WINCHESTER KY $145K
CRISP DRE LLC WINCHESTER KY $142K
LIZ DAVIS LPC LLC STAMFORD CT $119K
THRIVE WELLNESS, LLC DURANGO CO $118K
MAIN STREET FAMILY MEDICAL, LLC SPIRO OK $115K
BLUEGRASS PEDS DRE LLC RICHMOND KY $114K
DFC DRE LLC LEXINGTON KY $84K
KBD KIDS DRE LLC LONDON KY $72K
MOREHEAD PEDS DRE LLC MOREHEAD KY $61K
MT STERLING PEDS DRE LLC MT STERLING KY $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 9,756 $323K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,844 1,783 $104K
D0120 Periodic oral evaluation - established patient 1,980 1,924 $51K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 562 240 $37K
D1206 Topical application of fluoride varnish 2,036 1,976 $36K
D1110 Prophylaxis - adult 312 307 $18K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 465 443 $15K
D0272 Bitewings - two radiographic images 546 529 $11K
D7140 Extraction, erupted tooth or exposed root 134 73 $9K
D1351 Sealant - per tooth 486 149 $9K
D0274 Bitewings - four radiographic images 224 221 $8K
D0150 Comprehensive oral evaluation - new or established patient 176 167 $5K
D0220 Intraoral - periapical first radiographic image 439 398 $5K
D0330 Panoramic radiographic image 95 89 $5K
D0140 Limited oral evaluation - problem focused 95 78 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 65 40 $3K
D0230 Intraoral - periapical each additional radiographic image 237 116 $2K
D9986 60 58 $156.00